Pelvic organ prolapse (POP), the herniation of the pelvic organs to or beyond the vaginal walls, is a common condition. Many women with prolapse experience symptoms that impact daily activities, sexual function, and exercise. The presence of POP can have a detrimental impact on body image and sexuality . Treatment of POP requires significant health care resources; the annual cost of ambulatory care of pelvic floor disorders in the United States from 2005 to 2006 was almost $300 million  and surgical repair of prolapse was the most common inpatient procedure performed in women older than 70 years from 1979 to 2006 . The health care impact of prolapse is likely to expand, based upon estimates of an increasing prevalence in the growing population of elderly women .
The epidemiology, risk factors, clinical manifestations, and general principles of management are reviewed here. Management of prolapse with vaginal pessaries and choosing a primary surgical procedure for prolapse repair are discussed separately. (See "Vaginal pessary treatment of prolapse and incontinence" and "Pelvic organ prolapse in women: Choosing a primary surgical procedure".)
●Pelvic organ prolapse (POP) – The herniation of the pelvic organs to or beyond the vaginal walls.
Commonly used terms to describe specific sites of female genital prolapse include:
●Anterior compartment prolapse – Hernia of anterior vaginal wall often associated with descent of the bladder (cystocele) (figure 1).